Abstract.Objective: In this study the efficacy of transvaginal electrical stimulation in female genuine stress incontinence was assessed. Methods: Female patients with urinary incontinence were examined physically following history in a multiclinically based study involving Urology, Gynaecology, Physical Therapy and Rehabilitation. Urodynamics were performed for all patients, and 27 patients with genuine stress incontinence were included in this study. Transvaginal electrical stimulation were applied to the patients 30 mins once a day, 5 days a week, for a total of 4 weeks. The daily number of pads, incontinence and micturition times (day-night) were obtained and all patients completed the incontinence-specific quality of life questionnaire (I-QoL) before, at the end of and at the 3rd month after therapy, and 25 patients who completed this study were evaluated. Results: In patients treated with transvaginal electrical stimulation, the times of incontinence, micturition times, and number of pads were significantly decreased (p<0.001) and the scores of I-QoL were significantly increased (p<0.001) after treatment and at the 3rd month post-treatment when compared with pretreatment levels. According to subjective assessment eighteen (72%) of patients were cured. The number of patients improved moderately and minimally were 4 (16%) and 3 (12%) respectively. No patient reported side effects during treatment. Conclusion: Transvaginal electrical stimulation could be an effective and safe treatment for women with genuine stress incontinence.

SUMMARY:The objective of this study was to evaluate morphological changes of the median nerve in patients with carpal tunnel syndrome (CTS) and healthy controls, to correlate the MRI findings of wrists. This study compared not only morphological changes of the median nerve and also displayed descriptively structures in carpal tunnel between patients diagnosed with idopathic CTS and healthy controls. Our study involved 60 hand, 30 of hand were evaluated diagnosed with idiopathic CTS and 30 hand as healthy controls bilaterally. Two provocative tests (Phalen's and Tinel's test) were performed on each hand for both the patient group (60 wrist) and the control group (60 wrist). With regard to Phalen and Tinel's test results, 24 and 26 wrists were excluded from patient and control groups respectively. Totally 70 wrists were evaluated, and in terms of cross-sectional area of median nerve at the level of distal radioulnar joint, pisiform bone and the hook of hamate bone by MRI in the patient and control groups. In addition to evaluation of crosssectional area of median nerve, we determined signal intensity of wrists and different localization of the median nerve in the carpal tunnel. Cross-sectional area of the median nerve measured by wrist magnetic resonance at the level of metacarpal bones and signal intensity of wrists may be considered as a valuable indicator to determine patients referred with idiopathic CTS.

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